Advancing Sexual and Reproductive Health and Rights
 
Perspectives on Sexual and Reproductive Health
Volume 41, Number 1, March 2009

Contraceptive Use and Abortion Among Women Of Reproductive Age in St. Petersburg, Russia

By Elena Regushevskaya, Tatiana Dubikaytis, Minna Nikula, Olga Kuznetsova, Elina Hemminki

CONTEXT: An important phase of HIV prevention research is replicating successful interventions with different groups and in different settings.

METHODS: Be Proud! Be Responsible!, a successful intervention originally targeting black urban males and carried out in nonschool settings, was presented in health classes at urban and suburban schools with diverse student bodies. A group-randomized intervention study, which included 1,357 ninth and 10th graders from 10 paired schools in a Midwestern metropolitan area, was conducted in 2000–2002. Half the schools received the intervention, and half received a general health promotion program. Students' reports of their sexual behavior and selected cognitive mediators were analyzed immediately following the programs and four and 12 months later.

RESULTS: Compared with students who received the control curriculum, students exposed to the intervention reported significantly greater knowledge of HIV, other STDs and condoms; greater confidence in their ability to control sexual impulses, to use condoms and to negotiate the use of condoms; and stronger intentions to use condoms. Stratified analyses revealed that the strongest intervention impacts were on knowledge and efficacy among males and students attending suburban schools. The intervention had no impact on sexual initiation, frequency of intercourse or condom use.

CONCLUSIONS: Schools are a logical and viable setting for the dissemination and acquisition of information about HIV, including prevention strategies. However, the behavioral impact of an intervention may not be easily transferable when the program is taught outside a carefully controlled, nonschool setting.

Perspectives on Sexual and Reproductive Health, 2009, 41(1):51-58

DOI:10.1363/4105109







 

AUTHOR AFFILIATIONS

Elena Regushevskaya and Tatiana Dubikaytis are researchers, and Olga Kuznetsova is professor, all at St. Petersburg Medical Academy of Postgraduate Studies, Family Medicine Department, St. Petersburg, Russia. Elena Regushevskaya and Tatiana Dubikaytis are researchers, and Olga Kuznetsova is professor, all at St. Petersburg Medical Academy of Postgraduate Studies, Family Medicine Department, St. Petersburg, Russia. Minna Nikula is researcher, and Elina Hemminki is research professor National Institute for Health and Welfare, Helsinki, Finland. Elena Regushevskaya and Tatiana Dubikaytis are researchers, and Olga Kuznetsova is professor, all at St. Petersburg Medical Academy of Postgraduate Studies, Family Medicine Department, St. Petersburg, Russia. Minna Nikula is researcher, and Elina Hemminki is research professor National Institute for Health and Welfare, Helsinki, Finland.